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RN Home Care Coordinator
2 months ago
Element Care is seeking a skilled RN Home Care Coordinator to join our team. As a member of our interdisciplinary team, you will play a vital role in planning, implementing, and evaluating care plans that meet the objectives, standards, and policies of the PACE model of care.
Responsibilities:- Conduct initial assessments of participants in their home environments to determine their individual needs and coordinate their initial care plans.
- Perform annual in-home reassessments of all participants to determine what services are needed and appropriate.
- Provide home visits on an as-needed basis to triage changes in medical, cognitive, or functional status and update the team accordingly.
- Offer solutions to revise or modify care plans to better meet the needs of participants and participate in the care planning process.
- Complete authorization forms for home care services on a 90-day schedule.
- Effectively communicate with participants and families regarding home care services and address any issues or concerns within 3 working days.
- Participate in family meetings or case conferences as necessary.
- Record and maintain accurate and timely documentation in participants' charts.
- Follow all LTC participants by performing monthly chart reviews and annual assessments.
- Provide rotating coverage for the after-hours on-call system.
- Ensure all interactions with participants, families, and vendors are conducted in a manner that adheres to the highest standards of care and professionalism.
- Successful completion of an accredited R.N. program.
- Bachelor of Science degree in Nursing, preferred.
- Current licensure as a Registered Nurse in the Commonwealth of Massachusetts.
- Current CPR certification.
- A minimum of 2 years of experience working with a geriatric population.
- A minimum of 2 years of working in a community health setting.
- Health insurance
- Dental insurance
- Vision insurance
- Paid time off
- Retirement plan
- Supplemental benefits
Element Care is an Equal Opportunity Employer. We value diversity and contribute to an inclusive working environment.